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Published on: January 7, 2019
Successful treatment of polymicrobial multivalve infective endocarditis. Multivalve infective endocarditis
Giuseppe Allocca1, Gianaugusto Slavich, Gaetano Nucifora
1Cardiology Unit, Department of Cardiopulmonary Sciences, A.O. S Maria della Misericordia, P. le S Maria della Misericordia 15, 33100 Udine, Italy. alloccag75@libero.it
Abstract:
A 57-year-old man presented with triple valve infective endocarditis. There were vegetations on the tricuspid, mitral, and aortic valve. He had multiple complications such as pulmonary abscess, severe anaemia, and congestive heart failure. His general condition was extremely poor. Intensive medical therapy, such as blood transfusion, mechanical ventilation, and inotropic support, allowed him to tolerate surgery. Triple valve replacement was successfully performed without major complication. Vegetation cultures grew Streptococcus bovis and Enterecoccus faecalis. At 1 year follow-up, the patient is alive in NYHA functional class I.
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